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. 2021 Feb 10;11(2):e040361. doi: 10.1136/bmjopen-2020-040361

Table 3.

Predictive capacity of adapted MEWS, qSOFA and UVA scores

Adapted MEWS* >4 qSOFA ≥2 UVA >4
Unadjusted
 Sensitivity 50.4 24.8 28.2
 Specificity 74.9 90.4 91.1
 Positive predictive value 30.7 36.2 41.2
 Negative predictive value 87.2 84.5 85.2
 OR (95% CI) 3.04 (2.01 to 4.59) 3.10 (1.86 to 5.15) 4.04 (2.44 to 6.67)

*The adaptation to the MEWS score pertains to the altered mental status score. In the original MEWS, 0 point was assigned for alert patients, 1 if they reacted to voice, 2 if they reacted to pain, and three if they were unresponsive. In our adapted MEWS, we assign 0 point for an alert patient and 2 for a patient with any altered mental status.

MEWS, modified early warning score; qSOFA, quick Sequential (Sepsis-Related) Organ Failure Assessment; UVA, Universal Vital Assessment.